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GI Surgery – Colorectal

Guidelines for post polypectomy colonoscopic surveillance

22 Mar, 2023 | 13:31h | UTC

Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 revised edition – Intestinal Research

Related:

Colorectal cancer prevention: colonoscopic surveillance in adults with ulcerative colitis, Crohn’s disease or adenomas – National Institute for Health and Care Excellence

British Society of Gastroenterology/Association of Coloproctology of Great Britain and Ireland/Public Health England post-polypectomy and post-colorectal cancer resection surveillance guidelines – Gut

Consensus Statement: U.S. Multi-Society Task Force on Colorectal Cancer now suggests average-risk CRC screening begins at age 45.

USPSTF Statement: Start colorectal cancer screening at 45 years for most patients.

ACG Clinical Guidelines: Start colorectal cancer screening at 45

Evidence-based clinical practice guidelines for management of colorectal polyps – Journal of Gastroenterology

Meta-analysis: Risk of colorectal cancer and cancer related mortality after detection of low-risk or high-risk adenomas, compared with no adenoma, at index colonoscopy

Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer – Gastroenterology

Endoscopic surveillance after surgical or endoscopic resection for colorectal cancer: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Digestive Oncology (ESDO) Guideline – Endoscopy

 

Review | Surveillance strategies following curative resection and non-operative approach of rectal cancer: how and how long?

15 Mar, 2023 | 14:59h | UTC

Surveillance strategies following curative resection and non-operative approach of rectal cancer: How and how long? Review of current recommendations – World Journal of Gastrointestinal Surgery

 

RCT | Transanal vs. laparoscopic total mesorectal excision for mid and low rectal cancer

10 Mar, 2023 | 14:03h | UTC

Transanal versus laparoscopic total mesorectal excision for mid and low rectal cancer (Ta-LaTME study): multicentre, randomized, open-label trial – British Journal of Surgery (link to abstract – $ for full-text)

 

Ileal pouch-anal anastomosis in the older adult: a review of postoperative outcomes and pouchitis treatment

9 Mar, 2023 | 14:00h | UTC

Ileal Pouch-Anal Anastomosis in the Older Adult: a Review of Postoperative Outcomes and Pouchitis Treatment – Current Treatment Options in Gastroenterology

 

Cohort Study | Endoscopic biopsy with normal mucosa associated with elevated risk of inflammatory bowel disease for at least 30 years

8 Mar, 2023 | 14:10h | UTC

Summary:

This study explored the long-term risk of inflammatory bowel disease (IBD) after an endoscopic biopsy with normal mucosa. The researchers identified individuals in Sweden with a lower or upper gastrointestinal (GI) biopsy of normal mucosa, their matched population references, and unexposed full siblings.

They found that individuals with a previous lower or upper GI biopsy showing normal mucosa were at persistently higher risk of overall IBD, ulcerative colitis, and Crohn’s disease compared to their matched population references and unexposed full siblings, and the increased risk persisted at least 30 years after the biopsy with normal findings.

The findings suggest a substantial symptomatic period before IBD diagnosis, and clinicians should be aware of the long-term increased risk of IBD in those with symptoms requiring GI investigation but with a finding of histologically normal mucosa.

Article: Long-term risk of inflammatory bowel disease after endoscopic biopsy with normal mucosa: A population-based, sibling-controlled cohort study in Sweden – PLOS Medicine

Commentary: Risk for IBD Remains High After Endoscopic Biopsy With Normal Mucosa – HealthDay

 

Colorectal cancer statistics in the US, 2023

6 Mar, 2023 | 14:02h | UTC

Colorectal cancer statistics, 2023 – CA: A Cancer Journal for Clinicians

Commentary: American Cancer Society Data Show Colorectal Cancer Rates Are Rising in Younger Adults and Shifting to More Advanced Disease in People of All Ages – The ASCO Post

 

Severity and impact of accidental bowel leakage two decades after no, one, or two obstetrical sphincter injuries

3 Mar, 2023 | 13:56h | UTC

Summary: This study investigated the long-term severity and subjective impact of anal incontinence among women who had experienced 1 or 2 consecutive obstetrical anal sphincter injuries compared with those without injuries. The study used prospectively registered data and a questionnaire to analyze outcomes, including the frequency of fecal and gas incontinence, the impact on daily life, and the effect on other pelvic floor disorders. The results showed that the severity and impact of anal incontinence doubled and quadrupled in women with 1 or 2 consecutive sphincter injuries, respectively, compared with those without injury. The second sphincter injury had an equally large additive effect compared to the first injury. However, the study found that 1 or 2 sphincter injuries did not affect other pelvic floor disorders or lower urinary tract symptoms compared to women without injury.

Article: Severity and impact of accidental bowel leakage two decades after no, one, or two sphincter injuries – American Journal of Obstetrics & Gynecology

News Release: Decades-long suffering from obstetric injuries – University of Gothenburg

 

Review | Platelet aggregation inhibitors and anticoagulants in gastroenterological and visceral surgical procedures

1 Mar, 2023 | 14:03h | UTC

Platelet Aggregation Inhibitors and Anticoagulants in Gastroenterological and Visceral Surgical Procedures – Deutsches Ärzteblatt international

Related: Management of antiplatelet therapy in patients undergoing elective invasive procedures. Proposals from the French Working Group on perioperative haemostasis (GIHP) and the French Study Group on thrombosis and haemostasis (GFHT). In collaboration with the French Society for Anaesthesia and Intensive Care Medicine (SFAR)

 

RCT | Single CT colonography vs. three rounds of fecal immunochemical test for screening of colorectal cancer

1 Mar, 2023 | 13:43h | UTC

Single CT colonography versus three rounds of faecal immunochemical test for population-based screening of colorectal cancer (SAVE): a randomised controlled trial – The Lancet Gastroenterology & Hepatology (link to abstract – $ for full-text)

 

Commentary on Twitter

 

RCT | Caffeine did not reduce time to first bowel movement after laparoscopic colectomy

1 Mar, 2023 | 13:41h | UTC

Caffeine for intestinal transit after laparoscopic colectomy: randomized clinical trial (CaCo trial) – British Journal of Surgery (link to abstract – $ for full-text)

 

Commentary on Twitter

 

RCT | Ligation of intersphincteric fistulous tract vs. endorectal advancement flap for high-type fistula in ano

28 Feb, 2023 | 13:40h | UTC

Ligation of Intersphincteric Fistulous Tract vs Endorectal Advancement Flap for High-Type Fistula in Ano: A Randomized Controlled Trial – Journal of the American College of Surgeons (link to abstract – $ for full-text)

 

Commentary on Twitter

 

AGA Guideline | Role of biomarkers for the management of ulcerative colitis

22 Feb, 2023 | 12:38h | UTC

AGA Clinical Practice Guideline on the Role of Biomarkers for the Management of Ulcerative Colitis – Gastroenterology

News Release: New AGA guideline recommends blood and stool tests for monitoring ulcerative colitis – American Gastroenterological Association

 

RCT | Cold snare polypectomy reduces bleeding compared to hot snare polypectomy

22 Feb, 2023 | 12:34h | UTC

Cold Versus Hot Snare Polypectomy for Small Colorectal Polyps: A Pragmatic Randomized Controlled Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

News Release: Cold snare polypectomy significantly reduces bleeding risk compared to hot snare polypectomy – Science News Net

 

Review | Perioperative optimization of Crohn’s disease

17 Feb, 2023 | 12:39h | UTC

Perioperative optimization of Crohn’s disease – Annals of Gastroenterological Surgery

 

Review | Integrating geriatric assessment and prehabilitation into surgical practice can improve outcomes for GI cancer patients with frailty

17 Feb, 2023 | 12:37h | UTC

Frailty and surgical outcomes in gastrointestinal cancer: Integration of geriatric assessment and prehabilitation into surgical practice for vulnerable patients – Annals of Gastroenterological Surgery

 

Brief Review | Surgical management of ulcerative colitis

13 Feb, 2023 | 12:30h | UTC

Surgical management of ulcerative colitis – British Journal of Surgery

 

Brief Review | Contemporary management of parastomal hernia

13 Feb, 2023 | 12:29h | UTC

Contemporary management of parastomal hernia – British Journal of Surgery

 

RCT | Hyaluronic acid spacer for hypofractionated prostate radiation therapy

13 Feb, 2023 | 12:25h | UTC

Hyaluronic Acid Spacer for Hypofractionated Prostate Radiation Therapy: A Randomized Clinical Trial – JAMA Oncology

 

Commentary on Twitter

 

SR | Mechanical plus oral antibiotic bowel preparation may prevent complications in elective colorectal surgery

10 Feb, 2023 | 13:53h | UTC

Preoperative combined mechanical and oral antibiotic bowel preparation for preventing complications in elective colorectal surgery – Cochrane Library

Summary: Can combined mechanical and oral antibiotic bowel preparation reduce the risk of complications after scheduled colon or rectal resections compared with purely mechanical, purely oral antibiotic or no bowel preparation? – Cochrane Library

Related:

M-A: Strategies for antibiotic administration for bowel preparation among patients undergoing elective colorectal surgery – “the addition of oral antibiotics to intravenous antibiotics was associated with a reduction in the incidence of incisional surgical site infection by more than 50%”.

Meta-Analysis: Effects of Mechanical Bowel Preparation and Oral Antibiotics Before Elective Colorectal Surgery

 

Opinion | Interpreting the results from the first randomized controlled trial of colonoscopy: does it save lives?

10 Feb, 2023 | 13:54h | UTC

Interpreting the results from the first randomised controlled trial of colonoscopy: does it save lives? – BMJ Evidence Based Medicine

Original Study: RCT | Effect of colonoscopy screening on risks of colorectal cancer and related death.

 

RCT | Effects of the interval between neoadjuvant chemoradiotherapy and surgery in rectal cancer

9 Feb, 2023 | 13:45h | UTC

Effect of interval between neoadjuvant chemoradiotherapy and surgery on disease recurrence and survival in rectal cancer: long-term results of a randomized clinical trial – BJS Open

 

Commentary on Twitter

 

ACG Guideline | Management of patients with acute lower gastrointestinal bleeding

6 Feb, 2023 | 13:43h | UTC

Management of Patients With Acute Lower Gastrointestinal Bleeding: An Updated ACG Guideline

Related:

Diagnosis and management of acute lower gastrointestinal bleeding: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Endoscopy

Randomized Trial: Efficacy and Safety of Early vs. Elective Colonoscopy for Acute Lower Gastrointestinal Bleeding

[Abstract Only] Systematic Review: Early Colonoscopy Does Not Improve Outcomes of Patients with Lower Gastrointestinal Bleeding

Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology – Gut

 

Development and validation of a deep learning algorithm to differentiate colon carcinoma from diverticulitis in CT images

31 Jan, 2023 | 13:49h | UTC

Development and Validation of a Deep Learning Algorithm to Differentiate Colon Carcinoma From Acute Diverticulitis in Computed Tomography Images – JAMA Network Open

Commentaries:

Artificial Intelligence May Help Differentiate Colon Carcinoma From Acute Diverticulitis – AJMC

Deep Learning Model Aids Differentiation of Colon Cancer, Acute Diverticulitis – HealthDay

 

Commentary on Twitter

 

RCT | Curettage plus platelet-rich plasma gel vs. curettage plus phenol application in treatment of pilonidal sinus disease

26 Jan, 2023 | 12:05h | UTC

Comparison of Curettage Plus Platelet-Rich Plasma Gel and Curettage Plus Phenol Application in Treatment of Pilonidal Sinus Disease: A Randomized Trial – Diseases of the Colon & Rectum (link to abstract – $ for full-text)

See also: Visual Abstract

 

RCT | Intracorporeal vs. extracorporeal anastomosis in robotic right colectomy

24 Jan, 2023 | 14:17h | UTC

Intracorporeal Versus Extracorporeal Anastomosis in Robotic Right Colectomy: A Multicenter, Triple-blind, Randomized Clinical Trial – Annals of Surgery (link to abstract – $ for full-text)

 

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